So I was reading Stacey's post and ... well .... I could have written the stuff about
cognitive dysfunction. Like Stacey - I know I've really been struggling. For some time I've been talking to my pARNP and Dr about
how we could figure out - more objectively - just where things are at. You know .... just how thick is the fog?
First - a couple of differences. I've had chronic Lyme Disease and sleep apnea. People in the CFS and LD world have "brain fog" rather than "Fibro fog". I think it's basically the same stuff.
So I started off with a neuro exam that included MRI and EEG. I was not having a great day and the Neuro could see I was having problems. So he referred me to a neuropsychologist for testing. Neuropsychologists get post doc training and their specialty is identifying - and quantifying - just where cognitive deficits are. In some cases they are able to identify medical conditions and are able to determine if deficits are depression related or not. The neuropsych test is a medical procedure and is not considered psychological testing. An important distinction cause the test will probably be covered by insurance. Most ins. won't cover psychological tests.
They use a whole battery of standarized tests. Like 6 - 7 hrs. Kind of like a SAT on steroids. They evaluate your total mental functioning - attention, memory, processing speed, math skills, vocab, executive funtions like orgainizing and more.
So when you get thru - a week later you get the results. It gives an objective measure of where/ how much any deficits are. In my case, I had deficits in problem solving and very severe deficit in processing speed. I thought the problem was memory, but it turns out it's processing speed. There was other stuff that didn't reality check either.
I've had a very good academic background, Master's, and worked as a high functioning engineer for 35 yrs. So the neuropsych put it in perspective this way - "If you'd had a stoke, came in to get these tests to see if you could go back to work, and had results that looked like this - I'd tell you no." He said he's going to do a very detailed write up and say that my combination of deficits is disabling.
So, one thing Stacey could do is the neuropsych testing (or anyone else that needs to know what's going on). You're justing starting out and wish to pursue a career that requires a high level of functioning. Rather that wonder - and worry - about it, it would be better to get some test results. Then you will have objective information that you can use to make realistic decisions about your situation.
It's better to know, right? Making realistic plans is far better than getting totally discouraged and giving up, or being unrealistic and expecting a fairy tale ending.
Life isn't fair and doesn't come with guarantees. For me it's definitely "Plan B" time. My wife took it harder than I did - but I've had to deal with the problems day in and day out. The challenge is still the same tho - how do I make the most of what I've got.